Aesthetic Surgery Of Tulsa, Pllc

NPI 1164651394 - Surgery - 2086S0122X

NPI Details
NPI 1164651394
Enumeration Date 07/09/2009
Last Updated 07/09/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name ROBERT E ROBERT
Position PRESIDENT
Phone (918) 960-3033
Fax (918) 960-3035
Practice Location
6802 S OLYMPIA AVE
SUITE G113
TULSA OK, 74132-1823, US
Phone (918) 960-3033
Fax (918) 960-3035
Business Location
11913 S SANDUSKY AVE
TULSA OK, 74137-1801, US
Phone (918) 504-0364
Fax
Toxanomy
Taxonomy Code 2086S0122X
License State Oklahoma
License Number 22998
Remove 1164651394 NPI Number
 

According to our database, Aesthetic Surgery Of Tulsa, Pllc NPI is 1164651394, taxonomy code is 2086S0122X and license number is 22998, license state is located at Oklahoma. Aesthetic Surgery Of Tulsa, Pllc physically located at 6802 S Olympia Ave, Tulsa OK, 74132-1823. NPI Number 1033115704 has the healthcare provider type.

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1164651394 NPI number is provided on an as is basis without warranty of any kind. 1164651394 is maintained by the National Plan & Provider Enumeration System. The contents of Aesthetic Surgery Of Tulsa, Pllc are for informational purposes only.